Understanding ECG in Medical Terms

Introduction

Electrocardiography (ECG or EKG) is a diagnostic test used to record the electrical activity of the heart. It helps doctors assess heart rhythm, detect abnormalities, and diagnose conditions such as arrhythmias, myocardial infarction, and electrolyte imbalances.

How ECG Works

The heart generates electrical impulses which travel through specialized pathways, causing the heart muscles to contract and pump blood. An ECG machine captures these electrical signals via electrodes placed on the skin.

Components of an ECG

An ECG reading consists of several key components: - P wave: Represents atrial depolarization (contraction of the atria). - QRS complex: Indicates ventricular depolarization (contraction of the ventricles). - T wave: Represents ventricular repolarization (heart muscle recovery). - PR interval: The time taken for an impulse to travel from the atria to the ventricles. - ST segment: A flat section used to assess ischemia or infarction.

Common ECG Abnormalities

  • Arrhythmias: Irregular heartbeats such as atrial fibrillation, bradycardia, or tachycardia.
  • Myocardial Infarction (Heart Attack): Changes in the ST segment and Q waves can indicate a heart attack.
  • Electrolyte Imbalances: High or low potassium and calcium levels can alter ECG waveforms.
  • Heart Block: A delay or failure in the electrical signal passing through the heart.

Conclusion

An ECG is a vital tool in cardiology, providing rapid and non-invasive assessment of heart function. If an ECG suggests abnormalities, further investigations such as echocardiography or blood tests may be required.

Source recommendations

1. American Heart Association Guidelines for ECG Interpretation

  1. https://www.heart.org/en/health-topics/heart-attack/diagnosing-a-heart-attack/electrocardiogram-ecg-or-ekg
  2. https://www.ahajournals.org/doi/10.1161/circulationaha.108.191095
  3. https://www.heart.org/-/media/files/affiliates/mwa/kansas-city/kc-cardiac-and-stroke-symposium/2020-event-documents/cardiac-presentations/2-ecg-hockstad.pdf?la=en
  4. https://www.ahajournals.org/doi/10.1161/circulationaha.108.191098
  5. https://pubmed.ncbi.nlm.nih.gov/19281932/

2. European Society of Cardiology Guidelines on ECG Use

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines
  2. https://academic.oup.com/eurheartj/article/35/39/2733/853385
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Acute-Coronary-Syndromes-ACS-Guidelines
  4. https://academic.oup.com/eurheartj/article/40/2/87/5079120
  5. https://www.escardio.org/

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